Organization
RHODE ISLAND VETERANS HOME
Active
Other names
Rhode Island Veterans Home
Organization subpart
No
Provider details
NPI number
Authorized official
NIGEL MUSGRAVE (DIRECTOR OF PHARMACY SERVICES)
(401) 253-8000
Entity
Organization
Contact information
Practice address
480 METACOM AVE, BRISTOL, RI 02809-5119
(401) 253-8000
(401) 396-8125
Mailing address
480 METACOM AVE, BRISTOL, RI 02809-5119
(401) 253-8000
(401) 396-8125
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHB00029
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176705
PK
—
Enumeration date
04/02/2018
Last updated
04/02/2018
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